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言语治疗中治疗师的习惯化与所谓的患者进展

Therapist habituation and purported client progress in articulation therapy.

作者信息

Ritterman S I, Zenner A A, O'Steen C S

出版信息

J Commun Disord. 1976 Jun;9(2):129-34. doi: 10.1016/0021-9924(76)90004-6.

DOI:10.1016/0021-9924(76)90004-6
PMID:1002852
Abstract

Ten graduate student clinicians, in their final year of training, evaluated the tape recorded pretherapy performances of 10 /s/-defective children on the 68 /s/ items of the McDonald Deep Test of Articulation (1964). Five of the 10 clinicians were randomly selected and assigned one of these /s/-defective children as part of their regular case load. The children were seen for 1 hr per week for a 5-week period. The clinicians were not informed as to the nature of the study or that the composition of their case load was in any way connected with the tapes that they had previously evaluated. The five remaining clinicians and children did not participate in therapy during this 5-week period. Immediately following this 5-week period, an additional tape recording was made of all 10 children's responses to the /s/ items of the McDonald Deep Test (1964). Both pre- and posttreatment tapes were then evaluated by all 10 clinicians in independent listening sessions. Significant between-tape differences, indicative of both habituation and sensitization to client errors within the in-therapy clinicians only, are discussed in terms of their clinical applications.

摘要

十名处于培训最后一年的研究生临床医生,对10名/s/发音缺陷儿童在麦克唐纳深层发音测试(1964年)的68个/s/项目上的治疗前录音表现进行了评估。从这10名临床医生中随机挑选出5名,并将其中一名/s/发音缺陷儿童分配给他们作为常规病例。这些儿童每周接受1小时的治疗,为期5周。临床医生未被告知该研究的性质,也不知道他们的病例构成与之前评估的录音带存在任何关联。在这5周内,其余5名临床医生和儿童未参与治疗。在这5周结束后,立即对所有10名儿童对麦克唐纳深层测试(1964年)/s/项目的反应进行了额外录音。然后,所有10名临床医生在独立的听力环节中对治疗前和治疗后的录音带进行了评估。文中讨论了仅在治疗中的临床医生中出现的、表明对客户错误既有习惯化又有敏感化的录音带间显著差异及其临床应用。

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